17130 9n Liberty Court " ���
Tract No. Lot No.
CITE OF SAN JOSE BUILDING PART NT
�"I P.C.Dat APPLICATION FOR BUILDING PERMIT
�
Date — h ,192 Perm'It No.
Application is hereby made for a Permit to 2 *Y h nyl;Y -g- 6641'"—W+
a 2 sto ,Type V ii iqg&� 'aW Use Zone / '/
at / C, ;Mc-- Occupancy 19
to be occupied only as - Sq.feet
In accordance with Plans,Specifications ani PI Ian ed hre Parking Space
Estimated Value of Improvements,$ �Iffre Sprinkler
Enter.Elect.
❑I Certify that in the performance of the w for which this permit is iewuedd II shall not employ any person
Address
Owner.
By Address 0 Y1M/TO D5 JP
r 0,9L -
rk au
This permit shall expire and become null and id if or abandoned for a rind of 1�Sys within
120 days from the data issued or If the work is suspendedPe
fter
commamcament.
FINAL INSPECTION /`d�'° �� a ri�,A��/�� Rzev.'V' ' r+/78
! /
6520 SYM0o ,.t
i
Exemption from requirement for State of California for Contractor's.
License is hereby claimed by applicant:
aowner❑ state filed 13
Applicant attests that
Calthathis Stets of California Contractor's License Na.
Is in full force and effect and properly authorizes this application.
SanloseCity11wine s License No.
>
.1 CATIO 2. DATE RCD. 3.TIME RCD.
F.APPROV
( 1 YTIME ( 1 5.TYPEOF' 6.AREA 7. INSPT.MADE
M ( r/1 SPECIFY SPECT. , ' TIME
DATco
- 9.REMA OVE ( - 1 G
w
OINSPECTOR
280-671
WHITE-FILE YELLOW-INSPECTORPINK-OFFICE
�L C TIO 2. DA 3.TI RC
• 4,READY. AM ( 1 . ANY-WE ( _ 1 15.
TYPE OF .6:AREA 7. INSPT.MADE •-
U PM SPECIFY ' ' I nNSP T. " TIME
- " DATE TL
"
• 8.APPROVED ( { 1 9.REMARKS:
DISAPPROVED ( 1
•
III
• " INSPECTOR '
/ 280-671
WHITE-FILE YELLOW;INSPECTOR PINK-OFFICE , .
LOCATION r n Q 2. Cj7. 3.T
• 4.READY, AM ( 1 ANYTIME ( 1 5.TYPE OF 6.AREA 7. INSPT:MADE;
PM (: 1 ` .SPECIFY' INSPECT. TIME
DATE
8.APPROVED - ( 9.REMARKS: �1
•. DISAPPROVED ( �. 1
Luc 7
a
INSPECTOR !•
. v � 280-fi]1
• WHITE-FILE •YELLOW-INSPECTOR PINK-OFFICE -
i
LO ATION ' - 2
• 4,
READ( yAM ( •) ANYTIME ( , - 1 .TYPE OF 6.AREA 7. INSPT.MADE�',✓l
PM ( 1 SPECIFY I SPECT.: 9 TIME
J DATE
• 8.APPROVED ( • 1 '9.REMARKS: _
DISAPPROVED 1
• L li
•® INSPECTOR EWE.,
280xHU'
671
WHITE-FILE .YELLOW-INSPECTOR , PINK-OFFICE
• 1.q ON � ' 2. ATE RC
• 4.READY AM ( 1' ANYTIME ( "1 5.TYPE OF 6.A EA -7. INS T.MADE
PM ( 1 SPECIFY INSPECT. TIME
_ YY� DATE
• • 8.APPROVED �• •9.REMARKS: -
DISAPPROVED ( 1 .
• • INSPECTOR
260 671
WHITE-FILE• YELLOW.-INSPECTOR PINK-OFFICE